Purpose
The objective of this review was to assess the effect of preoperative education on
postoperative outcomes among patients undergoing cardiac surgery.
Design
Systematic review and meta-analysis.
Methods
A comprehensive literature search was made on PubMed, CINAHL, Ovid, ProQuest, ScienceDirect,
Scopus, Web of Science, and the Cochrane database between 1995 and 2015. Fourteen
randomized controlled trials were included. Data analysis was performed with RevMan
software and created the Supplementary Appendix using the GRADE approach.
Findings
Meta-analysis showed that preoperative education reduced anxiety scores (standardized
mean difference = −0.96, 95% confidence interval: −1.37, −0.54; P < .0001). However, there was no significant effect of preoperative education on pain,
depression, and length of hospital stay. There is low-quality evidence, and reasons
for downgrading are due to study design limitations, inconsistency, and imprecision
of effect estimates.
Conclusions
The results show that preoperative education can effectively decrease anxiety in patients
undergoing cardiac surgery.
Keywords
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Biography
C. Ramesh, MSN, BSN, Manipal College of Nursing, Manipal University, Manipal, Udupi, Karnataka, India
Biography
Baby S. Nayak, PhD, MPhil, MSN, BSN, Manipal College of Nursing, Manipal University, Manipal, Udupi, Karnataka, India
Biography
Vasudev Baburaya Pai, DNB, MS, MCh, FRCS, Department of Cardiovascular and Thoracic Surgery, Kasturba Medical College & Hospital, Manipal University, Manipal, Udupi, Karnataka, India
Biography
Nitin T. Patil, DNB, DA, MBBS, Department of Anaesthesia, Kasturba Medical College & Hospital, Manipal University, Manipal, Udupi, Karnataka, India
Biography
Anice George, PhD, MPhil, MSN, BSN, Manipal College of Nursing, Manipal University, Manipal, Udupi, Karnataka, India
Biography
Linu Sara George, PhD, MSN, BSN, Department of Fundamentals of Nursing, Manipal College of Nursing, Manipal University, Manipal, Udupi, Karnataka, India
Biography
Elsa Sanatombi Devi, PhD, MSN, BSN, Department of Medical Surgical Nursing, Manipal College of Nursing, Manipal University, Manipal, Udupi, Karnataka, India
Article info
Publication history
Published online: April 13, 2017
Footnotes
Conflict of interest: None to report.
Identification
Copyright
© 2016 by American Society of PeriAnesthesia Nurses
